The Clinical Problem Solvers

AUGUST 25, 2020

Heightened police presence in communities of color can be perceived as a threat by community members which can result in sustained increases in stress and cortisol levels. It also leads to decreased productivity in Black communities as they deal with the aftermath and ongoing challenges of police brutality. N Engl J Med.

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Community Patient-Centered Relationship Education 52

GeriPal

JANUARY 12, 2023

Which patients are eligible to go to an ACE unit? So I picked the Ed Sheeran song, The A Team, because it reminds me of our ACE team that goes around the hospital and cares for our older patients. And a light bulb just went off in my head, like, yes, this makes sense as a model for how we should care for more complex older patients.

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Hospital Patient-Centered IT Nurse Practitioner 100

FDA Law Blog

OCTOBER 28, 2024

To determine whether a long-term neurodevelopmental safety study is necessary, the Guidance describes general considerations, patient and population-specific considerations, and product-specific considerations that should be considered. Patient/population-specific considerations include the timing and frequency of assessments.

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Clinic Physicals IT Referral 64

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice?

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The Clinical Problem Solvers

FEBRUARY 14, 2022

[link] CPSolvers: Anti-Racism in Medicine Series Episode 14: Race, Place, and Health: Clinician and Community Perspectives Show Notes by Alec Calac February 15th, 2022 Summary: This episode highlights how racism manifests in the built environment, and how community and individual-level efforts can mitigate these inequities. Be curious.

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Community Individual Mental Health IT 52

The Clinical Problem Solvers

MAY 2, 2022

Dr. Davila is a palliative care physician at Massachusetts General Hospital and her work examines racial and ethnic inequities in patient-clinician communication. Our Black and Hispanic patients are less likely to have had trust-building experiences and more likely to have had trust-eroding experiences with the healthcare system.

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Healthcare Utilities Hospital Internal Medicine 52

The Clinical Problem Solvers

MARCH 4, 2024

Her research, writing, and community engagement focuses on shifting consciousness in medical education toward abolitionist possibilities. For instance, Toni Morrison’s “Home” depicts scenes of a community of Black women nursing a woman who has been the victim of medical racism and violence.

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Community Education Patient-Centered Relationship 52

The Clinical Problem Solvers

NOVEMBER 6, 2023

Harrison, a community organizer and trans theorist, and Dr. Psyche A. Identify ways to navigate clinical interactions with patients while respecting them and affirming their experiences with food and fatness. During this episode, we hear from Da’Shaun L. is rooted in anti-Blackness. All of this contributes uniquely to social death.

Community 52

Community Manufacturing Patients Medical 52

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. Eric: Yeah.

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Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out! Travel time can leave this champ vulnerable to fatigue and no-shows.

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Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. The patient’s capacity to make decisions was marginal, and his sons were shouldering much of the responsibility.

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Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 2, 2023

The FDA-approved indications for gabapentin are only for treating patients with partial seizures or postherpetic neuralgia. valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. There are a lot of reasons that may explain the massive increase in use of these drugs.

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Patient-Centered IT Healthcare Medical 96

GeriPal

FEBRUARY 8, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 2023.11.004.

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IT Families Family Physicals 137

GeriPal

DECEMBER 8, 2022

Clinicians “catching” patient life stories. . Our patients aren’t “the 76 year old with heart failure in room 202,” as Heather Coats astutely noted. Storytelling Helps Hospital Staff Discover The Person Within The Patient. It wasn’t until the end that the best term emerged – storycatching. What’s in a story?

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Patient-Centered Illness Healthcare IT 115

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. I’m just thinking we all went through a major traumatic event in 2020 and the subsequent years. Well, being a pretty comprehensive definition. Eric 04:19 Yeah.

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IT Patient-Centered Individual Screening 67

GeriPal

MAY 26, 2022

There were community-minded motivations, there were motivations that were not having to do with health but having to do with, “So my kids won’t keep calling me and telling me I have to get vaccinated,” type motivations so. I think in other cases, if you look at surveys, the motivations can be more complex. Alex: Yeah.

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Vaccination Individual IT Healthcare 88

FDA Law Blog

JULY 9, 2024

geographic location, gender identity, sexual orientation, socioeconomic status, physical and mental disabilities, pregnancy status, lactation status, and co-morbidity) may impact outcomes. FDA encourages sponsors to consult patients and healthcare providers to assist in developing such strategies.

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Clinic Provider Individual IT 59

GeriPal

SEPTEMBER 12, 2024

Eric 04:44 Could just make you a little bit more resilient, you can increase your Rvus so you can see more patients. It’s really not about helping the patient or physician. And also, by the fall of 2020, I was pretty sure that I didn’t want to be a leader anymore. If you were just. If you could make it, if we.

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IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

DECEMBER 7, 2023

Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels. Big heat waves in England in 2020, 2,224 excess deaths in the obits over the age of 65.

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Healthcare IT Education Community 129

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. And then to see her show up in our hospice unit in April of 2020, it just completely broke my heart. Turns out, it’s maybe not.

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Healthcare Professional Healthcare IT Relationship 102

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Everything.

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Patient-Centered IT Families Family 125

Tiny Physician

OCTOBER 17, 2021

Even a basic understanding of chemistry, biology, and physics is enough to debunk the concepts in this pseudoscience. One trial was conducted to find whether it is effective in fever on children post-DPT vaccination, another one on neonatal calf diarrhea (an animal study), and the last one on its effect on patients with Arsenic toxicity (4).

Vaccination 52

Vaccination Government IT Physicals 52

GeriPal

SEPTEMBER 14, 2023

We talk with Bruce Leff and Tacara Soones about the hospital-at-home movement, which has been shown to reduce costs, improve outcomes and improve the patient experience. 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med. Alex: Yeah.

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Hospital Patient-Centered Supply Chain IT 115

GeriPal

JUNE 2, 2022

it was April, 2020. We’re actually lower of COVID deaths in this country than we’ve ever been since March of 2020. So you plan on your geriatrician, older patients, getting it every year. Monica: And the patient said, “I don’t like my doctor wearing masks.” Monica: Yeah.

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Vaccination IT Hospital Management 100

GeriPal

APRIL 17, 2025

Summary Transcript CME Summary I read Farah Stockmans article in the NYT on why attacks on DEI will cost us all , and thought, Yes, and everyone includes harm to our healthcare workforce, our patients, and their families. The entire White community was getting affirmative action. Ali 23:44 Yeah, I could. And there was a brown family.

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The Clinical Problem Solvers

DECEMBER 2, 2020

Reflection Question: How can I best communicate the importance of social interventions to my extended family, community, and patients?) The emotional and physical fatigue associated with such immense loss of human life is leading to burnout among the very group that is required to address this disease.

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Community Internal Medicine Chronic Disease IT 52